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T�wm" - .' 'r`r.�- __ r� � Z.r•. � � ',� =�'.=' ��, .� ._�_..�,�y. ..L .sem4 `� <br /> 1- - <br /> _ Geological Audit Services, Inc. CHAIN OF CUSTODY Rr-CORD <br /> Date -,�G 1 page /-of <br /> Cllont <br /> SGaTT A t},�f PROJECT MANAGED. <br /> PHONENUMBER �. <br /> PROJECT NAME SAMPLER ISicnatu+el <br /> SAMPLE TYPO <br /> SAMPI.E LOCATION (TATE TIME WA;eR AMR SOLID NO.OF TESTS G <br /> NUMBER DESCRIPTION Comp CNTNRS REQUIRED <br />� rab. <br /> i <br /> 35 v �% <br /> Relippins ed by(Signaturel Received by:(Signalurel DatolTime <br /> hed by:(S lure) Received :IS na ! Date/Time <br /> I WE5 �.AB <br /> Rehn¢ueshe.by:(Signatur r I r',eia an s's Date/Time <br /> Dispatched by:(Signature) Date/Time Recesved fo.Laboratory by: Dat ITime <br /> r _ <br /> :L:: I <br /> Method of Shipment. Oiereby aulndhIe Ine perfoimance of the above indicated work. <br /> Special Instructions: ; <br /> SOURCE AaspMed from U.S.EPA,190 CcW100 <br />